Active NPI
Brent Noorda, D.C.
- Chiropractor
- St George, UT
National Provider Identifier
1346560299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7443716-1202
- Practice address
- 169 W 2710 South Cir
Suite 204
St George, UT 84790-7201 - Phone
- (435) 688-2292
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7443716-1202 | UT | Primary |
Addresses
Primary practice location
169 W 2710 South Cir
Suite 204
St George, UT 84790-7201
Mailing address
3155 S Hidden Valley Dr Unit 175
St George, UT 84790-6691
Phone (563) 271-3381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7443716-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chiropractic Avenue | Past | Accepting new patients | |
| Balanced Health Care LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Chiropractor
- St George, UT
- NPI 1699079723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1346560299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 S HIDDEN VALLEY DR UNIT 175",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906691",
"telephone_number": "563-271-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W 2710 SOUTH CIR",
"address_2": "SUITE 204",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907201",
"telephone_number": "435-688-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORDA",
"first_name": "BRENT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7443716-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.